Driving Policy After Seizures and Unexplained Syncope: a Practice Guide for RI Physicians
CONTRIBUTION Driving Policy after Seizures and Unexplained Syncope: A Practice Guide for RI Physicians MAXWELL E. AFARI, MD; ANDREW S. BLUM, MD, PHD; STEPHEN T. MERNOFF, MD; BRIAN R. OTT, MD 40 43 EN ABSTRACT chose from six possible driving restriction durations: No Physicians in Rhode Island sometimes find it difficult restriction, 3 months, 6 months, 12 months, 18 months, to advise patients about returning to driving after they other (with explanation). The questions asked are presented present with a seizure or syncopal episode due to lack in Table 1. of statutory or professional guidance on the issue. We provide an overview of the medical literature on public policies and recommendations regarding driving after RESULTS seizures or syncope. We also present the laws in Rhode According to RINS/RINA/AAN records there are approxi- Island regarding physician notification of the medical ad- mately 60 practicing neurologists in RI, and most of them visory board of the Department of Motor Vehicles, legal were contacted to complete the survey. Thirty neurologists, obligations, and immunity from prosecution for those representing approximately 50% of practicing neurologists who report. Finally, we present the results of a survey of in Rhode Island, responded to the survey. As demonstrated current practice by Rhode Island neurologists when they in Table 2, in the setting of a first seizure with loss of con- advise patients who have had a recent seizure or unex- sciousness, more than half of the respondents recommended plained syncopal event. Based upon this information, we a 6-month driving restriction irrespective of an identified hope local practitioners are empowered in their decision seizure focus (70.0 %) or normal EEG and MRI (63.3%).
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